| Regimental number | 6541 |
| Place of birth | Adelaide South Australia |
| Religion | Church of England |
| Occupation | Motor driver |
| Address | Austral Hotel, Rundle Street, Adelaide, South Australia |
| Marital status | Single |
| Age at embarkation | 21 |
| Next of kin | Father, E. Jeffries, Austral Hotel, Rundle Street, Adelaide, South Australia |
| Enlistment date | 10 July 1916 |
| Rank on enlistment | Private |
| Unit name | 13th Battalion, 21st Reinforcement |
| AWM Embarkation Roll number | 23/30/4 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A40 Ceramic on 7 October 1916 |
| Miscellaneous details (Nominal Roll) | Name does not appear on Nominal Roll |
